HomeMy WebLinkAboutPermit AppSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
City: State: _
Zip: Phone
FEE SIMPLE TITLE HOLDER:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:_
Zip: Phone:
BONDING COMPANY:
Address: Address:
City: City:
Zip: Phone: Zip: Phone -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thegermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nonresidential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMFNCEMIlai
Signature o ner/lessee/Contractor as Agent for Owner
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/19/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential A
PERMITTYPE:Gas
PROPOSED IMPROVEMENT LOCATION:
Address: 1749 NW BUTTONBUSH CIR
Property Tax ID k: 4426-835-0016-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Stettler
DETAILED DESCRIPTION OF WORK:
Add LP Gas Line for Cooktop
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply
_Mechanical _Gas Tank
Gas Piping
_Shutters
_Windows/Doors
_Electric _Plumbing
_Sprinklers
_Generator
_Roof Pitch
Total Sq. Ft of Construction:
Sq.
Ft. of First Floor:
Cost of Construction:$ 1300
Utilities:
_Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Stettler Samuel L
Name: Cheyenne Ellison
Address: 1749 NW BUTTONBUSH CIR
Company: Propane Services DBA Elite Gas Contractors
City: Palm City State: _
Zip Code: 34990 Fax:772-220-1829
Phone No.772-220-9678
Address:2130 SW Forma DR
City: Palm City State: FL
Zip Cade: 34990 Fax: 772-220.1829
Phone No772-220-9678
E-Mail: Imelendez(dlelitegasco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction 1x Szsnn
E-Maillmelendez@elitegasco.com
State or County License 18361
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.